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A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1922170786 |
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| LBN Legal business name | CONNECTICUT SURGICAL GROUP, PC | ||||||||||||||||||||||||
| Authorized official | DOUGLAS MCKELL - (CHIEF ADMINISTRATIVE OFFICER) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 11/15/2006 | ||||||||||||||||||||||||
| Last updated | 03/02/2011 - About 15 years ago | ||||||||||||||||||||||||
| Identifiers |
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CONNECTICUT SURGICAL GROUP, PC